evaluation of acceptance and commitment therapy delivered by psychologists and non- psychologists in...
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![Page 1: Evaluation of Acceptance and Commitment Therapy delivered by Psychologists and Non- Psychologists in Community Adult Mental Health Dr. Thomas Richardson](https://reader036.vdocuments.us/reader036/viewer/2022083007/56649e385503460f94b29aaa/html5/thumbnails/1.jpg)
Evaluation of Acceptance and Commitment Therapy delivered by Psychologists and Non-
Psychologists in Community Adult Mental Health
Dr. Thomas Richardson Principal Clinical Psychologist
(Research Lead)
Mental Health Recovery Teams, Portsmouth
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Acceptance and Commitment Therapy (ACT)
Attempts to avoid emotional distress cause many psychological problems
People become very fused with thoughts
Aims to open up/accept emotionsDefuse from thoughts Live in line with values despite problems
Introduction: What is ACT?
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ACT part of depression and transdiagnostic pathway
Training:Psychological therapists Non-psychologist practitioners (nurses, OTs, SWs)
●Training delivered by two experts, fortnightly supervision afterwards
●12-16 sessions of individual ACT
ACT in our service
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Aims: Determine if ACT effective and if differences in psychologists versus non-psychologists
Case series: measures given pre and post therapy, 3-month follow up.
Method
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CORE: Global mental health (I have felt OK about myself)
PHQ-9: Depression (Little pleasure in doing things)
Valued Living Questionnaire: how important values are, how much currently living in line
Cognitive Fusion Questionnaire: (I struggle with my thoughts)
Method: Measures
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Statistical analysis● General Linear Model (Mixed Factorial ANOVA)● Time X Clinician● All subscales analysed
● Intent to Treat Analysis● Follow-Up: Last Observation Carried Forward
Method
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23 participants so far17 women, 6 men
Recurrent depression most common primary diagnosis, three bipolar disorder
Most had co-morbidity: Anxiety Disorder, Personality Disorder, Physical Health, Alcohol.
One Anorexia and Two Bulimia cases Majority had previous therapy
Sample Characteristics
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Statistically significant improvement for:◦CORE: F=17, p<.001
◦ PHQ (Depression): F=19, p<.001
◦ Valued Living: Action: F=5, p<.05
◦Cognitive fusion: F=19, p<.001
Trend for:◦ Valued Living: Importance: F=4, p<.1
Results: Post-Treatment(n=23)
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Statistically significant improvement for:◦CORE Total: F=11, p<.01
◦ PHQ (Depression): F=12, p<.01
◦Cognitive fusion: Valued: F=20, p<.05
No improvement for:◦ Valued Living: Importance: F=1, p<.05
◦ Valued Living: Action: F=1, p<.05
Results: Three-Month(n=21)
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No significant difference in outcomes between psychologists and non-psychologists
Drop out higher:◦Non-psychologists: 33% (n=4) dropped out◦ Psychologists: 9% (n=1) dropped out
Psychologists took on the more complex cases
Results: By Clinician
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ACT effective intervention in our service
Improvements in global mental health, depression, cognitive fusion
Outcomes maintained at follow- up
Higher drop out for non-psychologist staff, but similar outcomes
Conclusions